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Minnesota rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.91 / $590.91 / $590.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.89 / $590.91 / $653.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.35 / $705.49 / $982.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.39 / $670.22 / $705.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $2,176.69 / $6,045.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.88 / $866.95 / $1,038.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.28 / $2,088.42 / $4,760.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.88 / $817.88 / $841.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.04 / $703.33 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $370.20 / $758.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $380.00 / $797.91